Hi Denise,
yes I would agree with you, as 'over-active' to me, means 'lots of
letdowns'.
Forceful is a good term.........
or how about 'rapid', or 'strong' or 'overpowering milk ejection reflex'.

I like 'overpowering' as it refers to the flow being difficult for the
infant to cope with.
Just brainstorming instead of doing the housework!!
Cheers
Karen Clements
IBCLC
Melb Aust

Denise wrote:

> At our local ALCA meeting last night the topic of 'over active milk
> ejection reflex' was mentioned.  Several of us felt that the phraseology
> wasn't an accurate description of what we are talking about.  To me
> 'over-active' means being active/activated more often than normal, but
what
> we are trying to describe is just a forceful milk ejection at the
> appropriate time.
> Would 'forceful milk ejection reflex' be a better descriptor?  Does that
> make it sound too aggressive?
> This would have to be the largest collection of professionals interested
in
> lactation issues so if we can collectively decide on what it should be we
> should be able to influence the researchers and book publishers.
> What's your opinion?

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